DIVYA MENON (PA-C) – Medical Physician Assistant, NPI 1255772141

DIVYA MENON (PA-C) is a healthcare provider. based in Jacksonville, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9107224 (FL). The NPI Number for DIVYA MENON (PA-C) is 1255772141

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DIVYA MENON (PA-C)
NPI
1255772141
Phone
(904) 388-1820
Address
1824 KING ST STE 300
Enumeration Date
9 July 2013
Last Update Date
12 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4074459545222
Graduation Year
2012 (14 years ago)
PAC ID
4688817778
Group Practice PAC ID
5799115713
Professional Enrollment ID
I20130820001079
Address ID
FL328355719OR1507XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for DIVYA MENON (PA-C)

  • 1824 KING ST STE 300

    JACKSONVILLE, FL 32204

    Phone: (904) 388-1820

    Fax: (904) 388-1827

    Type: Location

  • 251 Maitland Ave Ste 116

    Altamonte Springs, FL 327014913

    Phone: (407) 915-5643

    Fax: (407) 960-2602

    Type: Location

  • 1507 S HIAWASSEE RD

    STE 107

    ORLANDO, FL 328355706

    Phone: (407) 445-9545

    Fax: (407) 445-9365

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $294.

Total Amount is formed as General ($294) + Research ($0) + Ownership ($0) = $294.

Last reported payment date: 2023-02-19 • Largest payer in this snapshot: CVRx, Inc. ($294).

Total Amount

$294

General + Research + Ownership

Payments

3

Total payment records

General Amount

$294

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CVRx, Inc.$294
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-08-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130820001079IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes15863$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes8177$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2714$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1818$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1716$0
View full utilization report →

Insurance plans in this area (ZIP 32204)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799115713View full group profile
NameSpecialtyState
Nurse PractitionerFL
-FL
Nurse PractitionerFL
Physician AssistantFL
Nurse PractitionerFL
Internal MedicineFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Physician AssistantFL

Reviews

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Frequently asked questions

What is DIVYA MENON (PA-C)'s NPI number?
DIVYA MENON (PA-C)'s NPI is 1255772141 — the number used across U.S. healthcare to identify this provider.
Is DIVYA MENON (PA-C) still an active registrant?
DIVYA MENON (PA-C) carries an active NPI according to the public dataset.
How would a patient describe DIVYA MENON (PA-C)'s focus?
For DIVYA MENON (PA-C), the primary taxonomy reads as Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DIVYA MENON (PA-C)?
Travel planning: use Jacksonville, Florida as the reference point for DIVYA MENON (PA-C), then confirm.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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